Utilization Management Jobs in USA

Preferred Qualifications Bachelors degree in business administration or a related field.Business-to-Business sales experience including experience using various sales techniques such as Consultative or Solution Based Selling.Proficiency with Salesforce.Job SummaryExceeds sales and profit targets in...

OverviewSomnia Anesthesia Sacramento Area New Leadership Position ACT Model Regional Referral/High-Risk OB Regions Top-Rate HospitalMedical Director of Obstetric Anesthesiology -Stockton CALead a dynamic collegial team of anesthesiologists and parter with Nursing and OB leadership in this regio...

Medical Director DVM Beaumont CAAn established small animal hospital is seeking a Medical Director to lead a collaborative clinical team while delivering high-quality patient care. This is an excellent opportunity for an experienced veterinarian ready to step into a leadership role within a support...

OverviewBonus Potential! Monthly and Quarterly Bonus Incentives!Are you looking for a physician practice with a family environment but with the benefits and support a large organization can provide Where daily patient care is backed by evidenced based medicine and career options are limitless then l...

Medical Director Toledo OHAn established companion animal practice is seeking a Veterinary Medical Director to lead its clinical team while continuing to provide hands-on patient care. This opportunity blends clinical practice with leadership responsibilities in a collaborative environment focused...

OverviewSomnia Anesthesia Sacramento Area New Leadership Position Regional Referral/High-Risk OB Regions Top-Rate Hospital Medical Director of Obstetric Anesthesiology - Stockton CA $575KLead a dynamic collegial team of anesthesiologists and parter with Nursing and OB leadership in this regiona...

SummaryWe are currently hiring for a Managed Care Coordinator II Utilization Management to join BlueCross BlueShield of South this role as a Managed Care Coordinator II Utilization Management you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria b...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Case ManagerFull Time: Monday-Friday 8-5pmSIGN ON BONUS: $5000Requires a current licensure in a clinical discipline either as a Nurse (RN/LPN/LVN) or a Respiratory Therapist (RT) OR Medical Social Work (license per state guid...

OverviewBe inspired. Be rewarded. Belong. At Emory Healthcare.At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your care...

Anticipated End Date:Position Title:RN Nurse Case Manager IJob Description:Nurse Case Manager ILOCATION: This is a virtual eligible role. You should be within a reasonable commuting distance from one of our offices.HOURS: Monday - Friday 9:00a - 5:30p ET with 2-4 late evening shifts per month 11:30a...

Anticipated End Date:Position Title:Pharmacy Auditor - Payment Integrity Complex and Clinical AuditJob Description:Pharmacy Auditor - Payment Integrity Complex and Clinical AuditLocation: This role requires associates to be in-office 1 - 2 days per week fostering collaboration and connectivity while...

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Discover Your Career at Emory UniversityEmory University is a leading research university that fosters excellence and attracts world-class talent to innovate today and prepare leaders for the future. We welcome candidates who can contribute to the excellence of our academic community.DescriptionThe...

GRADE 18 LOCATION OF POSITION MDH Office of the Assistant Secretary for Population Health & Strategic Initiatives201 W. Preston StreetBaltimore MD 21201Main Purpose of Job The main purpose of this full-time contractual position will be to lead and execute the States strategic initiatives...

Job DescriptionHarborview Medical Center - Stroke Center has an outstanding opportunity for a Full-time Days Stroke Program Coordinator.WORK SCHEDULEFull-time 100% FTE (40 hours per week)Monday- FridayDay Shift 0800-430pmNo telework/On-sitePOSITION HIGHLIGHTSConveniently located near public transpor...

Responsibilities:Extended Care Coordinator:Responsible for the operation and management of the Extended Care Program including ensuring and scheduling adequate staffingStaff hiring training and developmentDirect and supervise all staff and students in the programResponsible for the daily cleaning an...

Location:Windsor Run by Erickson Senior LivingJoin our team as a Program Coordinator (Continuing Care) to support the delivery of engaging therapeutic programming that enhances the lives of residents across our Continuing Care neighborhoods including Assisted Living Memory Care Skilled Nursing and L...

Open: March 18 2026 Close: April 2 2026 Job Title: Program Coordinator Department: Emergency Housing Repair Reports To: Director Hours: 40 Hrs/Wk Full TimeSalary: Based on Salary MatrixBenefits Requisition: 887 *Salaries are market competitive. For accurate salary information call or...

DescriptionAt Bristol Health we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients residents and families. We are committed to provide compassionate qua...

DescriptionDo you like being responsible for residential and community programs Do you emjoy setting departmental goals leading staff and holding them accountable Do you enjoy working and coordinating with a multi-disciplinary teamIf you answered YES to either of these questions then consider joinin...